Lactate Dehydrogenase Isoenzymes : 4411

Message
LD-1 and LD-2 are elevated in hemolyzed specimens. LD-3, LD-4, and LD-5 are labile at low temperatures, and are erroneously low in specimens that have been refrigerated or frozen.


Test Code
LDHISO or 4411


Alias/See Also
LD Isoenzymes


CPT Codes
83625, 83615

Includes
Panel includes: LD isoenzymes (1-5) and LDH, Total.


Instructions
Serum separator tube.


Transport Container
Do not refrigerate or freeze. Centrifuge serum separator tube within 1 hour of collection and transport, 2 mL (Min: 1 mL).


Transport Temperature
Ambient.


Specimen Stability
After separation of cells: Ambient: 7 days; Refrigerated: Unacceptable; Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received frozen. Hemolysis.


Methodology
Spectrophotometry (SP)/Electrophoresis

Setup Schedule
Monday & Wednesday & Friday


Report Available
2-3 days (From receipt at performing laboratory)


Reference Range
By report.


Clinical Significance
Lactate Dehydrogenase (LD) is an enzyme that is present in many different organs and tissues. LD Isoenzymes (LDI) are useful in distinguishing the different isoenzymes expressed differentially in tissues and organs, e.g., cardiac muscle, skeletal muscle, and liver.


Performing Laboratory
Quest Diagnostics



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.